The Influence of Sociodemographic Factors, Lifestyle, and Risk Perception on Dietary Patterns in Pregnant Women Living in Highly Contaminated Areas: Data from the NEHO Birth Cohort

Ruggieri, Silvia; Drago, Gaspare; Panunzi, Simona; Rizzo, Giulia; Tavormina, Elisa Eleonora; Maltese, Sabina; Cibella, Fabio

doi:10.3390/nu14173489

Cited by 5 publications

(4 citation statements)

References 67 publications

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“…Interestingly, we found that the H-Exp cluster was composed of a higher percentage of women with higher educational levels: this result is in agreement with our recent study (Ruggieri et al, 2022) showing that, in pregnant women, a higher educational stage enhances attention toward a “healthy” dietary pattern characterised by higher fish and vegetable consumption. Nevertheless, a similar diet, in a highly contaminated area, could produce a counterintuitive effect with a higher risk for exposure to environmental pollutants.…”

Section: Discussionsupporting

confidence: 93%

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Drago¹,

Ruggieri²,

Sprovieri

et al. 2022

Preprint

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Protecting the health of pregnant women from environmental stressors is crucial for reducing the burden of non-communicable diseases. In industrially contaminated sites, this action is particularly challenging due to the heterogeneous pollutant mixtures in environmental matrices. Aim of this study was to evaluate distribution patterns of mercury, hexacholobenzene and polychlorobyfenils in the serum of 161 pregnant women recruited in the framework of the NEHO cohort and living both inside and outside the National Priority Contaminated Site (NPCS) of Priolo. Food macro-categories were determined, and serum levels of contaminants were used to perform k-means cluster analysis and identify the role of food in pollutant transfer from the environment. Two groups of mothers with high and low measured pollutant levels were distinguished. Concentrations in mothers in the high-exposure cluster were at least twofold for all the evaluated pollutants (p<0.0001) and includes mothers living inside and outside NPCS, with predominance of individuals from the NPCS (p=0.045). Fish and vegetable consumption was higher in the high-exposure cluster (p=0.02). These findings suggest a direct link between marine sediments and soil contaminations, which in turn drives maternal exposure through the food chain. Such consideration appears poorly investigated in the context of contaminated sites.

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Section: Discussionsupporting

confidence: 93%

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Drago¹,

Ruggieri²,

Sprovieri

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Interestingly, we found that the H-Exp cluster was composed of a higher percentage of women with higher educational level: this result is in agreement with our recent study 27 showing that, in pregnant women, higher educational stage and older age appear to enhance attention toward a “healthy” dietary pattern characterised by higher fish (bluefish in particular) and vegetable consumption. Nevertheless, a similar diet, in a highly contaminated area, could produce a counterintuitive effect with a higher risk for exposure to environmental pollutants.…”

Section: Discussionsupporting

confidence: 93%

“…Between January 2018 and January 2020, the NEHO cohort enrolled 561 pregnant women living in the NPCS of Priolo and in Local Reference Areas (LRAs) located outside the NPCS boundaries (see Supplementary Material , Table A1 ) but characterised by similar socio-demographic features. For the present study, 161 women were randomly selected from the NEHO birth cohort 27 , 85 residing in the NPCS and 76 residing in LRAs: no significant difference was found between the selected sample and the whole birth cohort in Priolo area, with the exception of the numbers of previous pregnancies ( Supplementary Material , Table A2 ). Briefly, after reading a detailed information sheet, all the participants, during their last trimester of pregnancy, were required to sign a consent form confirming their understanding of the project’s aim.…”

Section: Methodsmentioning

confidence: 99%

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Drago,

Ruggieri,

Sprovieri

et al. 2023

Sci Rep

Self Cite

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Protecting the health of pregnant women from environmental stressors is crucial for reducing the burden of non-communicable diseases. In industrially contaminated sites, this action is particularly challenging due to the heterogeneous pollutant mixtures in environmental matrices. The aim of this study was to evaluate distribution patterns of mercury, hexachlorobenzene and polychlorobiphenyls in the serum of 161 pregnant women recruited in the framework of the Neonatal Environment and Health Outcomes (NEHO) cohort and living both inside and outside the National Priority Contaminated Site (NPCS) of Priolo. Food macro-categories were determined, and serum levels of contaminants were used to perform k-means cluster analysis and identify the role of food in pollutant transfer from the environment. Two groups of mothers with high and low measured pollutant levels were distinguished. Concentrations in mothers in the high-exposure cluster were at least twofold for all the evaluated pollutants (p < 0.0001) and included mothers living inside and outside NPCS, with a predominance of individuals from the NPCS (p = 0.045). Fish consumption was higher in the high-exposure cluster (p = 0.019). These findings suggest a link between contamination of environmental matrices such as sediment with maternal exposure, through the intake of local food. Such consideration appears poorly investigated in the context of contaminated sites.

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“…In another study, it was observed that pregnant women with fewer years of education had poorer-quality diets with high sugar consumption and a minimal intake of fruits, meats, and fibre [ 21 ]. In contrast, studies have indicated that pregnant women with higher educational levels show a higher consumption of healthy foods [ 29 , 30 ]. These results suggest an association among educational level, family income, and dietary pattern.…”

Section: Discussionmentioning

confidence: 99%

Dietary Patterns and Factors Associated with Food Affinity in Pregnant Women from Quito, Ecuador

Toapanta-Pinta,

Vasco-Morales,

Céspedes-Granda

et al. 2024

Nutrients

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Nutrition during pregnancy influences perinatal outcomes and predispositions to chronic diseases. A prospective cohort study was carried out with the objectives of describing the dietary patterns in the pregnant population in the city of Quito, Ecuador and analysing the sociodemographic and lifestyle factors that influence the adherence to each dietary pattern. The body mass index was calculated for each patient, and the patients were classified according to the Atalah criteria. The Global Physical Activity Questionnaire was also applied. The dietary patterns were assessed using a dietary survey with a 24 h recall on two occasions. A total of 535 pregnant women were included. A positive association was found between the pattern “dairy, salads and sweet snacks/dressings” and foreign nationality (β = 0.82 (0.43;1.21)). The “refined carbohydrates” pattern was negatively associated with education equal to or less than 7 years and an income of up to one basic salary (β = −0.59 (−1.05; −0.14)). The “traditional Ecuadorian” pattern showed a positive association with being born in the coastal region of Ecuador (β = 0.62 (0.22; 1.01)). This study identified three dietary patterns in pregnant women and their possible associations with certain sociodemographic factors. More studies are needed to better understand these patterns as well as to analyse their nutritional and caloric properties.

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The Influence of Sociodemographic Factors, Lifestyle, and Risk Perception on Dietary Patterns in Pregnant Women Living in Highly Contaminated Areas: Data from the NEHO Birth Cohort

Cited by 5 publications

References 67 publications

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Exposure profiles in pregnant women from a birth cohort in a highly contaminated area of southern Italy

Dietary Patterns and Factors Associated with Food Affinity in Pregnant Women from Quito, Ecuador

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